GIÁ TRỊ THANG ĐIỂM H2FPEF VÀ HFA-PEFF Ở NGƯỜI BỆNH CAO TUỔI TĂNG HUYẾT ÁP CÓ PHÂN SUẤT TỐNG MÁU THẤT TRÁI (EF) ≥50%

Abstract

Objective: The rate of heart failure with preserved ejection fraction (HfpEF) EF ≥ 50%, The scales HFA-PEFF (ESC 2019) and H2FPEF (ACC/AHA 2018) were designed to estimate the possibility of HFpEF in suspected subjects, the study was conducted to evaluate the value of the HFA-PEF and H2FPEF scales in elderly patients with hypertension. Method: Cross-sectional descriptive study on elderly patients with hypertension at the National Heart Institute - Bach Mai Hospital from September 2023 to September 2024. Results: 130 patients were involved in which  male/female ratio was 1/1, the age group 65 - 80 years old was  accounted for the majority with 64.7%. The mean HFA-PEF score: 3.96 ± 1.49 points with the highest score: 6 points, the lowest: 0 points, the mild score ratio: 54.9%, high score ratio: 42.1%. The mean H2F-PEF score: 3.2 ± 1.71 points with the highest score: 9 points, the lowest: 1 point, the mild score ratio: 76.7%, high score ratio: 12.8%, the score distribution between the 2 different scales was statistically significant with p< 0.05. The 2 scales did not show agreement in the level of diagnosis of HfpEF with Kappa coefficient: 0.035 with p< 0.05. Conclusion: The two scales H2FPEF and HFA-PEF can be used to screen for HfpEF status in elderly patients with hypertension, however, the diagnostic agreement of these two scales is still relatively low.